Identification of predictors of 1-year mortality after ST-elevation myocardial infarction-results from the Bremen STEMI-registry

Abstract

ACS-free survival estimate significant predictors of all-cause mortality (hazard ratios: APN, 5.02; p < 0.001; CRP, 3.43, p < 0.001). The rate of ACS recurrence was significantly associated with APN levels. However, the other biomarkers did not show relationships with ACS recurrence. Multivariate analyses adjusted for APN, age, body mass index, diabetes, hypertension, smoking, and dyslipidemia identified the median and highest tertile of APN levels as the only predictors of ACS recurrence (hazard ratios: median, 4.46, p = 0.024; highest, 6.63, p = 0.005). Conclusions: Among the established biomarkers related to patient prognosis, APN was the most useful predictor of all-cause mortality and ACS recurrence.

SYNTAX score as predictor of adverse events in patients after acute myocardial infarction

“…U našem istraživanju, neželjeni događaji godinu dana nakon hospitalizacije bili su prisutni kod 40% bolesnika sa STEMI infarktom miokarda i to: reinfarkt kod 6,7%, ponovna revaskularizacija kod 23,3%, moždani udar kod 1,7% i letalni ishod kod 8,3%. Slični rezultati su dobijeni i u studiji analize 3.545 pacijenata sa STEMI iz Bremen STEMI-registra u periodu 2006-2010 godine, kod kojih je ustanovljen jednogodišnji mortalitet od 12% [15]. EPICOR studija je pokazala da su glavni neželjeni kardiovaskularni događaji značajnije češći kod bolesnika sa NSTEMI nego sa STEMI [16].…”